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addendum to directory of corporate members - IETE

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NOMINATION FOR THE <strong>IETE</strong> GOVERNING COUNCIL ELECTION 2013-16<br />

(Please return this <strong>to</strong> reach the Returning Officer by 31 March 2013)<br />

I hereby nominate ............................................................ ................................ for the <strong>members</strong>hip <strong>of</strong> the<br />

Governing Council <strong>of</strong> the <strong>IETE</strong> for the term 2013-16 <strong>to</strong> fill one <strong>of</strong> the vacancies caused by the retiring Governing<br />

Council <strong>members</strong>. I also declare that I am not a member <strong>of</strong> Board <strong>of</strong> Scrutineers for the Governing Council<br />

Election 2013-16.<br />

Class &...............................Name............................................................................... Signature............................<br />

Membership No (<strong>of</strong> the nomina<strong>to</strong>r)<br />

Tel No (O)…………...... ….(R) …………………….. (M) ………………………Email…………………………………<br />

DECLARATION AND BIO-DATA BY THE NOMINEE<br />

I ............................ .............................. agree <strong>to</strong> accept, if elected, the <strong>members</strong>hip <strong>of</strong> the Governing Council <strong>of</strong><br />

the <strong>IETE</strong> for the term 2013-16. I hereby declare that I have been a Fellow <strong>of</strong> the Institution continuously for the<br />

previous five years as on 31 Dec 2012. My brief bio-data in 100 words is given below for circulation <strong>to</strong> the<br />

Corporate <strong>members</strong> along with the ballot paper for voting.<br />

Class & Mem No................................ Name ............................................................Signature.................................<br />

(<strong>of</strong> the nominee)<br />

Date.........................................<br />

Tele No (O)………….......... (R) ……………………… (M) ……………………..E-mail…………………………………<br />

(iii)

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